| NPI | 1023289022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLASIMBO BABATOPE Provider 770-514-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA 050389) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-06-09 |