| NPI | 1023235587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH SALANDY Manager 404-819-0901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA 044232) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |