NPI | 1144374604 |
---|---|
Doing Business As | CHILDRENS BMH PROVIDERS, LLC |
Entity Type | Organization |
Authorized Contact | MANAGED CARE Manager, Provider Enrollment 404-785-7876 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2007-01-22 |
Last Update Date | 2025-01-16 |