| NPI | 1437299625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST EGLEN Therapist 404-691-9627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW003136) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |