NPI | 1194072652 |
---|---|
Entity Type | Organization |
Authorized Contact | GODWIN ANANABA CEO 404-564-6486 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101Y00000X Counselor |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TP2701X Psychologist, Group Psychotherapy | |
1041C0700X Social Worker, Clinical | |
261QC1500X Clinic/Center, Community Health | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: GA 060-435-D) | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2012-08-14 |
Last Update Date | 2024-08-20 |