| NPI | 1407289721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRINA GRAHAM Owner/CEO 404-272-3436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC006099) |
| Enumeration Date | 2013-08-11 |
| Last Update Date | 2013-09-15 |