| NPI | 1518359348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DRUCILLA MOODY Clinical Social Worker 404-938-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003537) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |