| NPI | 1639664162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATENYA DILLON CEO 912-398-5814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 103TC0700X Psychologist, Clinical | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |