| NPI | 1134979883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCARLET CHANCEY Owner/Lpc 912-297-6539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-04-30 |