| NPI | 1467797795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE A. ROBILLARD Owner 706-331-0207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003992) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2016-10-25 |