NPI | 1568959591 |
---|---|
Entity Type | Organization |
Authorized Contact | KENIKA HOLLOWAY Owner 404-645-9292 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA 006307) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2018-04-16 |