| NPI | 1093720583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLY WAYNE BLAND President/CEO 912-355-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 025325D) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |