| NPI | 1558096438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RICHARDSON Owner 404-832-0837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-23 |
| Last Update Date | 2022-07-23 |