| NPI | 1376755595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI NELSON BELCHER President 912-764-6906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC003736) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-09-18 |