| NPI | 1104287333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL MILLER Owner 912-531-0876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC008845) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2020-07-28 |