| NPI | 1336865153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LECOUNT Owner 912-352-5233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-10-13 |