| 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 |