| NPI | 1366799058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEL SHARPE Owner/President 770-383-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: GA 020151) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-09-04 |