| NPI | 1215561139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELYNN VILLARI Clinical Director 678-471-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2020-02-29 |
| Last Update Date | 2020-02-29 |