| NPI | 1184830200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA DWYER SKINNER Clinical Director 912-662-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006991) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2015-01-23 |