| NPI | 1578151700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCINE GORDON Director 770-415-3601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-04 |