| NPI | 1548718232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAILEY SISK ROJAS Owner 404-797-5586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW005734) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |