NPI | 1710563994 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACE DOWD Owner 404-895-7405 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
133N00000X Nutritionist | |
133V00000X Dietitian, Registered | |
Enumeration Date | 2021-03-19 |
Last Update Date | 2021-03-22 |