| NPI | 1366526303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEDDY M KEMP Director 706-549-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |