| NPI | 1578867982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY GREEN CEO 770-819-6825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 171W00000X Contractor | |
| 174400000X Specialist | |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2020-03-27 |