| NPI | 1114398260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MAGILL Owner 404-219-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003452) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |