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 |