| NPI | 1710304076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA YIJIANG WONG President 678-498-8638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA 69672) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |