NPI | 1275765711 |
---|---|
Entity Type | Organization |
Authorized Contact | SCARLET ADANA CHATMAN Owner 470-504-3438 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2009-08-18 |
Last Update Date | 2022-02-14 |