| NPI | 1689314049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SIEGEL Owner 706-514-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2023-07-20 |