| NPI | 1154674752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDY ROGERS Owner 404-966-8031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004974) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2016-12-05 |