| NPI | 1407673148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNIA BAKER Clinical Director 678-658-3699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |