NPI | 1295110914 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT LOMAX Owner/Therapist 706-372-9705 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW005101) |
Enumeration Date | 2015-07-23 |
Last Update Date | 2015-07-23 |