| NPI | 1083084925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MILLER Owner 912-447-5530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA PSY002167) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |