| NPI | 1003445826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEYA N MITCHELL CEO/Therapist 912-208-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |