NPI | 1043185069 |
---|---|
Entity Type | Organization |
Authorized Contact | DEVENCHIE BATTLE Director 770-853-9533 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 251300000X Local Education Agency (LEA) |
251B00000X Case Management | |
251S00000X Community/Behavioral Health | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM2500X Clinic/Center, Medical Specialty | |
Enumeration Date | 2025-10-08 |
Last Update Date | 2025-10-08 |