| NPI | 1548404213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CUSHINBERRY Administrator 770-337-2037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004032) |
| Enumeration Date | 2009-04-26 |
| Last Update Date | 2010-10-25 |