| NPI | 1730503632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY MARTIN TREXLER Owner/Provider 229-588-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA 1308) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |