NPI | 1508496399 |
---|---|
Entity Type | Organization |
Authorized Contact | CALVENA WINSTON Manager 404-406-6307 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-01-21 |
Last Update Date | 2020-01-21 |