| NPI | 1528384492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETERICA DIONNE RUCKS CEO 404-423-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: GA N/A) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: GA N/A) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |