| NPI | 1295985836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA PEREZ Office Manager 678-987-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC005144) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |