| NPI | 1174038095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY MCCUE Therapist 912-825-8488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2023-05-26 |