| NPI | 1912321381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LAWRENCE MILFORD CEO 706-442-5929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |