| NPI | 1336505809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODRICK FRAZIER CEO 678-765-2733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 122300000X Dentist |
| 253J00000X Foster Care Agency | |
| 364SF0001X Clinical Nurse Specialist, Family Health | |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2022-10-05 |