| NPI | 1841527462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE UMANA-MAXWELL Clinical Social Worker 678-983-7671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW003750) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |