| NPI | 1891513487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLONDA SHEPARD Owner 912-567-6615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-09 |