NPI | 1548776412 |
---|---|
Entity Type | Organization |
Authorized Contact | MELANIE STORRUSTEN Owner 404-401-2587 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW004317) |
Enumeration Date | 2017-12-14 |
Last Update Date | 2017-12-14 |