| NPI | 1316604242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNIQUE CASTELLE CEO 470-927-5466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 171400000X | |
| Enumeration Date | 2021-11-28 |
| Last Update Date | 2023-05-04 |