| NPI | 1609703586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SIMONE CLEARY Owner 678-886-8027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-05-06 |
| Last Update Date | 2026-05-06 |