| NPI | 1689806002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE R FURTNER President 770-825-0448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW001270) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |