Organization
AUTUMN'S HARBOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BUTLER MARTIN LCSW (OWNER)
(912) 531-3404
Entity
Organization
Contact information
Practice address
601 N BELAIR SQ STE 2, EVANS, GA 30809-4322
(706) 750-8329
Mailing address
601 N BELAIR SQ STE 2, EVANS, GA 30809-4322
(706) 750-8329
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
09/19/2022
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