| NPI | 1558584714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE M MORELAND Office Manager 912-351-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-01-11 |