| NPI | 1184512477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE J ALEXANDRE Direcror 912-844-1176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-06-25 |