NPI | 1518187715 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLTON D HAGGARD President 770-435-2931 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW001456) |
Enumeration Date | 2007-04-27 |
Last Update Date | 2008-07-15 |