| NPI | 1700607850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA PENDRICK Organizer 404-490-0373 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |