| NPI | 1275664831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DAVIS FEEHAN Lcsw 478-397-6209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW003482) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |