| NPI | 1659406320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN B SCHUSTER Co Director 706-860-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 001789) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 6701) |
| 106H00000X Marriage & Family Therapist (Licence: GA 000508) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |