| NPI | 1922613785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORQUESIA SMITH Clinical Social Worker/Therapist 404-590-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |