| NPI | 1487310710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA CATO Director 678-362-3477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 251300000X Local Education Agency (LEA) | |
| 251B00000X Case Management | |
| 251C00000X | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0801X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QS1000X Clinic/Center, Student Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |