| NPI | 1083742456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRICK ALLEN Owner 678-521-3092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: GA 0554225) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |