| NPI | 1033682612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA MOTEN Owner 470-301-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2022-09-06 |