| NPI | 1033647110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON GRANT Clinician 470-377-6839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: GA LPC006518) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2022-07-21 |