| NPI | 1427666817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYISIYA SANDERS Owner 770-756-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |