| NPI | 1366491219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI AUGUSTINE FLAKE Manager 404-275-8352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw 3286) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |