| NPI | 1396800819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN L HAGAN President 678-469-1409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW001379) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |