| NPI | 1205544830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D'ANTOINETTE EDWARDS Owner 470-371-8308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |