| NPI | 1457862518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM WHYTE Counselor 912-421-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2023-03-09 |