NPI | 1669918231 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS JUSTAVIS FOSTER CEO 706-447-9722 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2017-01-06 |
Last Update Date | 2024-01-18 |