| NPI | 1255697017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J MCCRAY Clinical Director 229-317-4901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006221) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |