| NPI | 1306350418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA HEARN President 770-312-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW005954) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |