| NPI | 1346767548 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MIEKE P KRAMER Chief Executive Officer 912-659-9038  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2017-08-28 | 
| Last Update Date | 2017-09-07 |