| NPI | 1295223626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVA JONES Clinical Director 404-835-2565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW006393) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2023-12-04 |