NPI | 1164895470 |
---|---|
Entity Type | Organization |
Authorized Contact | EBONE D COAKLEY Owner 770-355-6073 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004856) |
Enumeration Date | 2015-11-09 |
Last Update Date | 2015-11-09 |