| NPI | 1528323334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY WOSKE CORBETT CEO 229-460-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw002825) |
| Enumeration Date | 2012-07-08 |
| Last Update Date | 2012-07-08 |