| NPI | 1588401319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL EZEOLISAH Administrative Manager/ COO 678-704-3398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |