| NPI | 1083129142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEJUMOKE DUDUYEMI Owner 678-599-3942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA LPC008637) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |