| NPI | 1306192737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON BLOUNT Director 912-537-7787 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 385H00000X Respite Care | |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |