| NPI | 1205152436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE COX Owner 229-985-8452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 002205) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003604) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |