| NPI | 1437658762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLISHA MICHELLE JONES Clinical Director 912-247-6482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004373) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-10-04 |