| NPI | 1568527505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY REDMAN CIO 678-367-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2011-10-21 |