| NPI | 1356096051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA LEE DARNELL Co Owner 770-365-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-02-21 |