NPI | 1386895324 |
---|---|
Entity Type | Organization |
Authorized Contact | MARA PEREZ Office Manager 678-987-1020 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC005074) |
Enumeration Date | 2008-10-08 |
Last Update Date | 2008-10-08 |