| NPI | 1982054821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH NEEDLE Owner 706-540-3610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW005660) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |