| NPI | 1578690384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MATHIS President 770-956-1056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 002157) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-07-01 |