| NPI | 1396003331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN JAMES HALSTEAD Director 678-792-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW003598) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2021-08-20 |