| 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 |