| NPI | 1699442897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DAVIDSON Executive Director 706-844-7956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-09-08 |