| NPI | 1780823062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J LATTIMORE Director 404-730-0249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003394) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-12 |