| NPI | 1588943070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYM LEONARD Clinical Operations Manager 404-856-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2023-02-28 |