| NPI | 1235916578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SMITH Executive Director 404-707-0864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |