| NPI | 1285142257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVA SAJNA Director 251-363-6877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC006307) |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 253J00000X Foster Care Agency | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-06-16 |