| NPI | 1144968322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY OPARA CEO/Authorized Official 678-974-0342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |