| NPI | 1669782876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL BERNHARD KADISH Organizer 615-440-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA MSW005064) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 1041S0200X Social Worker, School (Licence: GA 922672) | |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |