| NPI | 1588925853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN M BENSON Owner 404-242-1962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA RN110079) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2013-05-17 |