| NPI | 1396868824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS D'NIN PATILLO CEO Psychologist 404-731-6107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA 004196) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 1594) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2011-06-08 |