| NPI | 1689042525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAY M. GRAGSON Owner 706-248-3962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005037) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2016-01-22 |