| NPI | 1699933655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DIXON PILLOW Clinical Social Worker 404-403-6866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: GA CSW001123) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |