| NPI | 1417300690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARIS C SHIELDS Owner 229-241-7883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005676) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |