| NPI | 1164043956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HAHN Owner 678-242-9443 |
| Organization Subpart ? | |
| 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 |