| NPI | 1932616109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY W FROELICH Social Worker 678-643-6782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW006215) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |