| NPI | 1912181082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OPAL H MINOTT Lic Clinical Social Wrkr Therapist 770-375-0479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003893) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R0441101) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |