| NPI | 1003630237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE CHARISSE PLEDGER Director 470-819-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |