| NPI | 1609313113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTIS CHANDLER Director 404-664-4517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005989) |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2017-01-22 |