| NPI | 1124651195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MARIA TAYLOR Licensed Clinical Social Worker 404-635-8178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |