| NPI | 1801273354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE CHAVERS Counselor 912-687-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC007564) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |