| NPI | 1396629234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAUGHN GAY Clinical Driector 404-808-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-11-17 |