| NPI | 1588496368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH MOON Clinical Director 404-200-8907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |