| NPI | 1730383134 |
|---|---|
| Doing Business As | CHOICES,LEGACY,ILP |
| Entity Type | Organization |
| Authorized Contact | CINDY A SIMPSON Director 770-784-9310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |