| NPI | 1669914479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE HILL Lcsw 912-536-1643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004147) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 171M00000X Case Manager/Care Coordinator | |
| 221700000X Art Therapist | |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |