| NPI | 1063823532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE LEIGH CRAVEN President 912-441-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006058) |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2014-05-18 |