| NPI | 1790818649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALA I. HILAIRE CEO 404-564-4796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA CSW001980) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA CSW001980) |
| 101YP2500X Counselor, Professional (Licence: GA CSW001980) | |
| 103T00000X Psychologist (Licence: GA CSW001980) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: GA CSW001980) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA CSW001980) | |
| 103TC0700X Psychologist, Clinical (Licence: GA CSW001980) | |
| 103TC1900X Psychologist, Counseling (Licence: GA CSW001980) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA CSW001980) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: GA CSW001980) | |
| 104100000X Social Worker (Licence: GA CSW001980) | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW001980) | |
| 1041S0200X Social Worker, School (Licence: GA CSW001980) | |
| 106H00000X Marriage & Family Therapist (Licence: GA CSW001980) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-03-31 |