NPI | 1629641030 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN TRETTIEN Executive Director 912-532-9308 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2021-07-22 |
Last Update Date | 2021-07-22 |