| NPI | 1710508205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MICHELLE DUKE Owner 912-335-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |