| NPI | 1568091429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA ALTONETTE BUTLER Chief Executive Officer 470-701-0167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2021-04-30 |