| NPI | 1265617781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA NANCY WALLACE President 912-447-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW003140) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |