| NPI | 1497052963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES MORRIS Owner 404-438-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC003858) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2012-07-03 |