| NPI | 1144605650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRICK ALLEN Officer 404-966-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2015-07-26 |
| Last Update Date | 2015-07-26 |