| NPI | 1730808999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE N WINDHAM Clinical Mental Health Counselor 912-441-7695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |