| NPI | 1083943625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN MILLER Psychotherapist 404-660-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: GA CSW004141) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |