| NPI | 1992076988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M FREDRICK President 404-636-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 000144) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |