| NPI | 1356515720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES SULLIVAN Clinical Director 678-429-9872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA LMSW004061) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |