| NPI | 1538909783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYATTA GRAYSON WOODS Licensed Clinical Social Worker 706-940-2518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2024-05-27 |
| Last Update Date | 2024-05-28 |