| NPI | 1538758644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LUISA WAY Owner 912-342-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |