| NPI | 1558099192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN ABERNATHY-CORNELIUS Licensed Clinical Social Worker 470-695-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2023-01-18 |