| NPI | 1083012314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JOANNE KRAUS Psychotherapist 706-247-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 40508) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |