NPI | 1598043580 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA SUNBURY WOOD Owner 912-262-1112 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW003677) |
Enumeration Date | 2011-07-26 |
Last Update Date | 2011-07-26 |