| NPI | 1619981925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY M.E. ALLEN Clinical Social Worker 770-923-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 707) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2012-01-11 |