| NPI | 1104295401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LYNN Owner/CEO 478-290-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004684) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2016-02-03 |