| NPI | 1386501534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAZZMEN DAVIS Practice Owner/Clinical Director 404-649-5274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-03-24 |