| NPI | 1023852357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAURA ROSS Project Manager 678-978-3878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 235Z00000X Speech-Language Pathologist, | |
| 103K00000X Behavior Analyst | |
| 103TC1900X Psychologist, Counseling | |
| 106E00000X Assistant Behavior Analyst | |
| 225X00000X Occupational Therapist | |
| 103TF0000X Psychologist, Family | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2026-03-25 |