| NPI | 1336695238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMEERA ALI Billing Manager 678-793-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251E00000X Home Health | |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-09-05 |