| NPI | 1588476741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM SPECJAL Licensed Clinical Social Worker 912-809-9093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-24 |