| NPI | 1346957263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINNEA KNOESPEL Owner 404-310-5608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |