| NPI | 1427798891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIDEON MATZKIN Medical Director 678-336-6875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2024-09-15 |