NPI | 1275834053 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNE L MCDANIEL Owner/Provider 912-349-0030 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005493) |
Enumeration Date | 2010-11-09 |
Last Update Date | 2023-01-31 |