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 |