| NPI | 1346049178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MIGUEL VALENTIN Contracted Clinical Officer 770-256-7078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |