| NPI | 1205546017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE DUNAWAY CFO 470-554-7905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |