| NPI | 1932554557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH SALMON Social Worker 706-543-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA MSW000422) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |