| NPI | 1366737785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE E WILLIAMS Owner 478-929-0294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW001694) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |