NPI | 1265298533 |
---|---|
Entity Type | Organization |
Authorized Contact | LEKEISHA SHAUNTAE MCNEIL Owner/Director 912-212-5803 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-02-26 |
Last Update Date | 2024-08-24 |