NPI | 1972008340 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA M ROZIER Provider/Owner 334-606-3662 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005652) |
Enumeration Date | 2018-03-28 |
Last Update Date | 2018-06-16 |