| NPI | 1356071765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANDA MARIE MOBLEY-TAYLOR Owner/Licensed Practitioner 912-667-8806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2023-12-19 |