| NPI | 1346036266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA A DANIEL CEO 678-476-3717 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |