NPI | 1164043956 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER HAHN Owner 678-242-9443 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2020-05-03 |
Last Update Date | 2022-12-05 |