New Foundations Youth Center, INC

NPI #1093362345 in Lake Park, Georgia

Provider Information

NPI Number
1093362345
Entity Type
Organization
Organization Name
New Foundations Youth Center, INC
Primary Specialty
Counselor - Professional
Enumeration Date
Aug 21, 2019
Last Updated
Aug 21, 2019

Practice Location

Address
5310 GOLF DR
State
Georgia
ZIP Code
31636-3335
Phone
(229) 412-3452

Authorized Official

Name
SHARON SIRMONS, LPC
Title
OWNER
Phone
(229) 412-3452

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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