| NPI | 1144724055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLETTE NARI MARTIN Owner 404-803-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC009371) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |