NPI | 1265161053 |
---|---|
Entity Type | Organization |
Authorized Contact | AISHA FRAZIER Administrative Assistant 404-564-6486 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 101Y00000X Counselor |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TP2701X Psychologist, Group Psychotherapy | |
1041C0700X Social Worker, Clinical | |
251S00000X | |
261QC1500X Clinic/Center, Community Health | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
Enumeration Date | 2022-06-07 |
Last Update Date | 2024-05-08 |