| NPI | 1447586268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHLEEN WEST Owner 706-253-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW1362) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2020-10-09 |