| NPI | 1033664222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE R DELAY-MOORE Therapist 478-333-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004960) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251S00000X (Licence: GA CSW004960) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2022-02-01 |