| NPI | 1083137517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LATRICE HUGHES President 404-229-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC C010080) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA CSW00548) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2022-07-21 |