| NPI | 1154193142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN ZERMENO DESANTOS Program Director 404-290-6786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |