| NPI | 1366965386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRI L FROST Owner 706-490-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003122) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2025-03-09 |