| NPI | 1003410978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAN CHI LE VO CEO 404-565-4514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |