| NPI | 1477734515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN MARRA CEO 678-357-6928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA LPC000869) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |