| NPI | 1508171422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIDRE C TIFT President 912-977-4643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA MSW002656) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 012789) |
| 1041C0700X Social Worker Clinical (Licence: GA MSW003123) | |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |