| NPI | 1891084588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA A WOODWARD Owner 678-687-3306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004142) |
| Enumeration Date | 2011-04-03 |
| Last Update Date | 2022-10-28 |