| NPI | 1649257791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY COLE Executive D Irector 770-478-2280 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities |
| 101Y00000X Counselor | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 104100000X Social Worker | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261Q00000X Clinic/Center | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2011-11-15 |