| NPI | 1295044204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER V YOUNGBLOOD Director 678-777-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 2730) |
| Enumeration Date | 2010-09-26 |
| Last Update Date | 2017-02-27 |