| NPI | 1003525619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN ELIZABETH LAWSON-PAWELCYZK Licensed Clinical Psychologist 912-531-8027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2023-01-24 |