| NPI | 1003767401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN R SHUMATE-WILLIAMS Member 404-597-2390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-02-03 |
| Last Update Date | 2026-02-04 |