| NPI | 1902593072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUJUANA SHAW JALLAH Licensed Professional Counselor 912-412-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-10-06 |