| 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 Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 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 |