| NPI | 1144996810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSHETHA SHAKOOR-RIVERA Chief Executive Officer 470-508-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-08-21 |
| Last Update Date | 2021-08-21 |