| NPI | 1376314534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA MCDOWELL CEO 470-696-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |