NPI | 1508039306 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN MICHELE JOHNSON Affiliated Behavioral Medical Owner 404-784-2782 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA SMC2007-021) |
Enumeration Date | 2008-04-12 |
Last Update Date | 2008-07-11 |