| NPI | 1457229817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA CORELY Owner. 404-840-6349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |