| NPI | 1437657160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REAGAN REESE POWELL Licensed Professional Counselor 912-421-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2023-09-17 |