| NPI | 1265913792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA COOKE Owner/Therapist 678-462-3579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |