| NPI | 1578091252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ESTEL KING Sole Proprietor 706-669-3526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006094) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2018-03-17 |