| NPI | 1386180271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MOLLEY Owner 404-437-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171029694) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |