| NPI | 1174097463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER CHAPMAN Owner 678-400-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-01-20 |
| Last Update Date | 2023-08-08 |