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