| NPI | 1033830161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOLETA M GOMEZ Owner 470-733-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2024-07-02 |