| 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 |