| NPI | 1447020003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS EDUARDO RUIZPEGUERO Licensed Clinical Social Worker 912-977-3941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-04-03 |