| NPI | 1457676629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DENNY Owner 912-231-9403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X (Licence: GA 001654) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |