| NPI | 1194063305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MERTIG Counselor 912-373-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC006834) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |