| NPI | 1063765881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA CARRIMA COOKE Development Director 478-471-7785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA lpc004607) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA msw003871) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |