| NPI | 1346570694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MAMALAKIS EPTING Agency Director 912-507-8576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005849) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA LPC005849) |
| Enumeration Date | 2010-01-09 |
| Last Update Date | 2012-09-18 |