| NPI | 1710379235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA TOWNSEND VP Of Rcm 470-440-1647 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2022-07-21 |