| NPI | 1679055800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA A JEROME Professional Counselor 912-687-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 010358) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 010358) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |