| NPI | 1184472573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAZZMEN NIKOLE DAVIS Practice Owner/Lead Counselor 404-649-5274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-05-09 |