| NPI | 1366674087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOODFIN JACKSON THRELKELD President 404-325-3992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW002002) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |