| NPI | 1346611423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY A. KILGORE Office Manager 404-402-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW001094) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |