| NPI | 1356564082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD LYNCH-STANLEY Director 912-261-1248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 1279) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-08-30 |