| NPI | 1154593317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN CONNARD CARTER President 404-874-9207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 00671) |
| 302F00000X Exclusive Provider Organization (Licence: GA 00671) | |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |