| NPI | 1518679307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON KELLAM CEO/Clinical Director 470-213-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2022-12-23 |