| NPI | 1417337437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIA JOHNSON Owner/Counselor 912-306-5271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC007888) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |