| NPI | 1295021939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BAER Owner 770-993-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA CSW004424) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |