Organization · Type 2 NPI
New Foundations Youth Center, Inc
Professional Counselor · Lake Park, GA
NPI number
1093362345
Active
Practice location
5310 Golf Dr
Lake Park, GA 31636-3335
Mailing address
PO Box 173
Valdosta, GA 31603-0173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
About NPI 1093362345
New Foundations Youth Center, Inc's National Provider Identifier is 1093362345, issued on Aug 21, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake Park, GA. The record was last updated on Aug 21, 2019.