| NPI | 1417494956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTITA S CARTER Licensed Professional Counselor 229-236-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |