| NPI | 1669865093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE PRICE Sole Member/Owner 770-479-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW000214) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |