NPI | 1013277623 |
---|---|
Entity Type | Organization |
Authorized Contact | C YVONNE COX Owner 229-985-8452 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 002205) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003604) |
106H00000X Marriage & Family Therapist (Licence: GA MFT001144) | |
Enumeration Date | 2012-05-17 |
Last Update Date | 2012-12-06 |