| NPI | 1235685082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIHESHA M LEMON-DEACON CEO/Owner 912-484-7599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004748) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 465919) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 508334) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |