NPI | 1821514902 |
---|---|
Entity Type | Organization |
Authorized Contact | WANDA RENFROW Social Worker Clinical/Counselor 404-630-9660 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P006527) |
Enumeration Date | 2017-08-21 |
Last Update Date | 2022-07-21 |