| NPI | 1174177323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACY BILLINGSLEY Licensed Clinical Social Worker 770-545-4998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |