| NPI | 1871949743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASANDRA MARBURY Clinician 404-908-8168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9389) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-06-29 |