NPI | 1477687507 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH CHRISTOPHER HAIDER-BARDILL Clinical Director 404-541-2223 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: GA Applied for) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2007-03-14 |
Last Update Date | 2024-07-01 |