| NPI | 1538761663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE SCURRY Owner 470-588-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2025-05-29 |