| NPI | 1366147357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVE R EVENS Owner 404-590-0159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-03-31 |