| NPI | 1801305354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MONTAGUE KINLAW Owner/Operator 912-520-8084 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA CSW004819) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2023-04-28 |