| NPI | 1679119630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY CHANTEL POWE CEO 470-799-7940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |