| NPI | 1689993461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MITCHELL HOWARD Owner Counselor 912-489-8401 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: GA 2010000179) |
| Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: GA 2010000179) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA 2010000179) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA 2010000179) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: GA 2010000179) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |