| NPI | 1043773393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHINE W SMITH Licensed Clinical Social Worker 706-425-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |