| NPI | 1144693904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY REID-BARROW Owner 706-421-2302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005615) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |