| NPI | 1497504146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWONA MONTIQUE PALMER Owner 404-218-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 102X00000X Poetry Therapist | |
| 171400000X | |
| 175T00000X Peer Specialist | |
| 221700000X Art Therapist | |
| 225A00000X Music Therapist | |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-23 |