| NPI | 1386534121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY W MURANJA Medical Director 678-904-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 273R00000X Psychiatric Unit | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-03 |