| NPI | 1609998566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL S. HAMMOND Owner 770-736-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003247) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC002011) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2019-01-22 |