| NPI | 1427744622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRITTIAN PARRAMORE Executive And Clinical Director 678-568-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |