| NPI | 1790523173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH WEST Psychiatric Nurse Practitioner 912-596-7573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |