| NPI | 1407224215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ADKINS Director 678-743-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2020-06-17 |