| NPI | 1578126181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL WILLIAM JONES Clinical Social Worker 912-508-2582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2024-12-06 |