NPI | 1083089239 |
---|---|
Doing Business As | MANNA TREATMENT |
Entity Type | Organization |
Authorized Contact | ELIZABETH GENE BURNETT Director 770-495-9775 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2015-12-13 |
Last Update Date | 2022-03-28 |