| NPI | 1700679511 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | WHITLEY FRAZIER Owner/Therapist 912-996-8284  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Additional Taxonomies | 251S00000X Community/Behavioral Health | 
| Enumeration Date | 2025-05-24 | 
| Last Update Date | 2025-05-26 |