| NPI | 1386185890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE S GOULD Owner 423-903-9761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004081) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |