| NPI | 1194158253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTITA CARTER Owner 404-647-2514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC007059) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2016-10-27 |