| NPI | 1730079104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAM NAVARRE-JONES Manager 404-907-3921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2026-01-15 |