| NPI | 1679464143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASARA AL HELOU Pa C / Minority Owner 404-964-5415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |