| NPI | 1023264827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA DEVAUGHN President 770-425-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW000605) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |