| NPI | 1215656814 |
|---|---|
| Other Name | EMBARK VIRTUAL AT GEORGIA |
| Entity Type | Organization |
| Authorized Contact | SHARNELL SPENCER Credentialing Manager 661-239-6923 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2025-06-05 |