| NPI | 1427717867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA BEA POLLARD Clinical Director 678-793-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |