| NPI | 1518736974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SIMON Owner 912-665-5980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-05-22 |