| NPI | 1528707643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MARTIN Chief Executive Officer 770-580-4116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 103T00000X Psychologist |
| 171M00000X Case Manager/Care Coordinator | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2024-04-12 |