| NPI | 1922306117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LYNN COOK Licensed Professional Counselor 912-349-5954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC006205) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2012-08-29 |