NPI | 1306116637 |
---|---|
Doing Business As | EVE PEARSON, LCSW |
Entity Type | Organization |
Authorized Contact | EVE WILLIAMS PEARSON Owner/Therapist 706-288-5428 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA CSW004126) |
Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: GA CSW004126) |
305S00000X Point of Service (Licence: GA CSW004126) | |
302F00000X Exclusive Provider Organization (Licence: GA CSW004126) | |
Enumeration Date | 2012-01-03 |
Last Update Date | 2012-01-03 |