| NPI | 1093078958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F TIRRELL ANDREWS Program Director/Therapist 229-412-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |