| NPI | 1417599564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA GIBSON RICH Licensed Clinical Social Worker 912-506-1587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |