| NPI | 1306385463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DAVIS CEO 404-645-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC006241) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |