| NPI | 1598498412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER K RAINES CEO/Founder 770-298-5094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-07-07 |