NPI | 1508341413 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA PACKMAN Owner 404-281-7189 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-09-26 |
Last Update Date | 2018-09-26 |