| NPI | 1124615737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAUGHN GAY Executive Director 404-808-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2020-12-29 |