| NPI | 1598141673 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DIONNE REID-HAYLES Clinical Social Worker/Therapist 678-392-0727 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005560) | 
| Enumeration Date | 2015-07-30 | 
| Last Update Date | 2020-09-27 |