| NPI | 1306430095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L. NATSON CEO 912-481-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2023-11-08 |