| NPI | 1043865611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMAINE BROOKS Owner/CEO 912-596-7683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |