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 |