| NPI | 1740336916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S. FRY President 866-525-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW002889) |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2010-12-09 |