| NPI | 1568238202 |
|---|---|
| Doing Business As | PALISADES PROFESSIONAL COUNSELING |
| Entity Type | Organization |
| Authorized Contact | JOE NATHAN JOHNSON Owner/Operator 770-864-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |