| NPI | 1538204086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH EDWARD NIAGER Director 912-352-7638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 000973) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2010-01-29 |