| NPI | 1295289759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE HARRIS Therapist 770-545-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW005388) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2019-04-30 |