| NPI | 1508031741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JANE DELUCA Solo Member 678-478-5774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA CSW001577) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |