| NPI | 1427412253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYHESCIA JOHNSON Professional Counselor 912-481-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC007713) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |