| NPI | 1114269636 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | VALERIE HUGHLEY Licensed Clinical Social Worker 404-784-6958  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw004157)  | 
| Enumeration Date | 2013-03-22 | 
| Last Update Date | 2015-03-11 |