| NPI | 1578326302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY B CALDWELL Owner 478-550-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |