| NPI | 1467759050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LESER Member Manager 404-402-8590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003213) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-04-20 |