| NPI | 1518405752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN STEPHENS Interim CEO 770-429-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW002215) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |