| NPI | 1578867982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY GREEN CEO 770-819-6825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 251B00000X Case Management | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 101Y00000X Counselor | |
| 251S00000X Community/Behavioral Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 174400000X Specialist | |
| 171W00000X Contractor | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2026-01-28 |