| NPI | 1851791487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN S SPENCER Owner 678-462-5696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003872) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |