| NPI | 1629847660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON RENARD WILKERSON CEO/Clinical Therapist & Supervisor 229-942-1318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2024-01-01 |