| NPI | 1619230141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELISHA SERVETTE BROWN Owner 478-278-2633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW000460) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |