| NPI | 1003546904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORRY DARNELL DOUGLAS Account & Office Manager 470-331-4654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |