| NPI | 1124413125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMILTON S PEIRSOL CEO 912-401-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 5774) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2016-04-19 |