| 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 |