| NPI | 1124255070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNEEL BABU KATRAGADDA President 770-458-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA 09030920) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2022-06-10 |