| NPI | 1568910354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA HAWLEY Owner 706-340-1336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003911) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-12-15 |