| NPI | 1760524672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE ELIZABETH NAYLOR Manager 770-455-0261 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-09-16 |