| NPI | 1821610452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVITT J HUXFORD CEO 229-563-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2025-02-18 |