| NPI | 1326455619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA SEALS CEO 404-663-8012 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC4527) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA 003136558A) |
| 305R00000X Preferred Provider Organization (Licence: GA 003136558A) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: GA 003136558A) | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2016-01-21 |