| NPI | 1942616735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA NADINE SILVA Licensed Clinical Social Worker 678-849-9463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005061) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |