| NPI | 1275068223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI LITTLEFIELD Lpc 912-373-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 007122) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2019-11-12 |