| NPI | 1649201625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOJ K DASS President 912-355-4987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA 002990) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 22536) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |