| NPI | 1184182115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA GRANT CEO 404-839-8906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |