| NPI | 1629231865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ROCHELLE AINSWORTH Director 912-353-7699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW001088) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |