NPI | 1275890642 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACEY PACE Counselor 912-657-9613 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA APC003295) |
Enumeration Date | 2012-04-23 |
Last Update Date | 2022-11-14 |