| NPI | 1013676535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY WRIGHT Operations Director 404-227-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |