NPI | 1073211538 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS EGBUNIKE Executive Director 470-202-4404 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
261QM0801X | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-02-23 |
Last Update Date | 2023-02-23 |