| NPI | 1326713231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA MICHELLE GRANT Owner 770-285-7321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-08-12 |