| NPI | 1134906779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIL ALRAFATI Owner And Director 478-960-8298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |