| NPI | 1629088984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYON KIRKLAND EVANS Owner/CEO 770-234-0981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: GA 53850) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA 53850) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2022-07-21 |