| NPI | 1275934523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI LITTLEFIELD Owner 912-398-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 004467) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 007122) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |