| NPI | 1225378029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA FREENEY License Clinical Social Worker 478-919-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA CSW004290) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-05-28 |