| NPI | 1558691568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAY PITTMAN Administrator 678-777-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X | |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2011-05-25 |