| NPI | 1558876995 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NICOLE D MORGAN Partner 678-641-6737 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2017-12-07 | 
| Last Update Date | 2017-12-27 |