| NPI | 1891538781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE KEITH LUCKY CEO 912-744-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-08-19 |