| NPI | 1619166204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALINDA D GRAHAM Executive Director 912-977-6523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA APC001285) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |