| NPI | 1457543035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK WILCOX President 229-435-1729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA #214) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |