| NPI | 1366130692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNIE C HARDY CEO 770-380-8994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-08-01 |