| NPI | 1154728780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLTON D HAGGARD Psychotherapist 770-435-2931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW001456) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |