| NPI | 1518400324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANYA IRVING-GLYMPH Owner/Director 678-648-6021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA LPC004583) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |