| NPI | 1952782799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL SUSANNAH HOLBROOK Owner 706-424-4814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003391) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-08-19 |