NPI | 1568251379 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA MCFANN COO 912-297-0066 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2025-05-06 |
Last Update Date | 2025-06-11 |