| NPI | 1144104001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MOLINEAUX COO 770-335-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |