| NPI | 1063876407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN WALLER Chief Executive Officer 404-867-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251S00000X | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |