| NPI | 1457995342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA N MOREIRA Owner, Manager 678-898-5293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |