| NPI | 1275897555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ELAINE DORER Owner 770-591-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 1579) |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2012-07-01 |