| NPI | 1902141617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS WARDRETT MILLER Managing Partner 404-626-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW000649) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |