| NPI | 1871657841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLETHA MARIA OLIVER CEO 912-876-5977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 112824) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |