| NPI | 1578090601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA D. FRAZIER Administrative Assistant 404-564-6486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center Community Health | |
| 101Y00000X Counselor | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 1041C0700X Social Worker Clinical | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: GA 060-435-D) | |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2024-05-08 |