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 | 2025-08-04 |