NPI | 1740067065 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEX KYLE ALLEN Clinical Director 678-921-9969 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2023-09-11 |
Last Update Date | 2025-07-10 |