Wilson's Garden of Hope

NPI #1710325766 in Augusta, Georgia

Provider Information

NPI Number: 1710325766
Entity Type: Organization
Organization Name: Wilson's Garden of Hope
Primary Specialty: Counselor - Professional
Enumeration Date: Jun 12, 2013
Last Updated: Jun 12, 2013

Practice Location

Address: 3062 DAMASCUS RD
Address 2: SUITE 100
City: Augusta
State: Georgia
ZIP Code: 30909-4068
Phone: (762) 233-4642

Authorized Official

Name: MS. SHATISHA MATRICE WILSON, M.S.
Title: EXECUTIVE DIRECTOR
Phone: (762) 233-4642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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