| NPI | 1790229805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD F GARRETT Owner 229-483-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW001212) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2023-03-15 |