NPI | 1417796905 |
---|---|
Doing Business As | LIFE MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | BRITTANY ROCHE CEO 678-937-3267 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2024-05-23 |
Last Update Date | 2024-06-18 |