NPI | 1700393162 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZANNE COOTE Owner/Provider 912-660-7358 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003125) |
Enumeration Date | 2018-01-08 |
Last Update Date | 2018-01-08 |