| NPI | 1083059760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIUS CLAYBORNE GRIMES Clinical Social Worker 404-840-0640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004068) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |