| NPI | 1336809102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA JONES Lcsw 678-832-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2024-03-29 |