| NPI | 1316703580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARROD LEAUNTAY BURNS Chief Operations Officer 770-490-9398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |