| NPI | 1710239942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENELLE MARTIN Psychiatrist/President 770-638-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA 034660) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |