NPI | 1548564172 |
---|---|
Entity Type | Organization |
Authorized Contact | NICKY ALTIKULAC Director/Owner 404-394-3382 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 0-090-3051) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: GA 0-090-3036) |
Enumeration Date | 2010-12-21 |
Last Update Date | 2011-03-15 |