NPI | 1699450213 |
---|---|
Entity Type | Organization |
Authorized Contact | BORIS DAY CEO 470-938-5993 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
261Q00000X Clinic/Center | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2023-06-20 |
Last Update Date | 2023-06-20 |