| NPI | 1235917469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA KHAN CEO 404-435-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2024-03-20 |