| NPI | 1760670400 |
|---|---|
| Other Name | WISEKIDZ ACT SERVICES |
| Entity Type | Organization |
| Authorized Contact | K. NICOLE WISE Vice President/Educational Therapis 678-598-5619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |