| NPI | 1871848051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE L. MCDANIEL Owner/Provider 912-349-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005493) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2023-01-31 |