| NPI | 1780859439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE A. DIPOLITO Executive Director 912-764-6906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: GA RN118225) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |