| NPI | 1063748283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA HUGHES HENDERSON President 404-247-9274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: GA PSY001261) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |