| NPI | 1346598174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN D LUKENS Clinical Social Worker Private Prac 404-242-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA csw002534) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |