| NPI | 1174267389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUNIA GISELLE LOBO Manager 678-787-9543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-04-24 |
| Last Update Date | 2022-05-04 |