| NPI | 1114450137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA M LINDEMANN Lcsw 770-339-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005570) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |