| NPI | 1730426198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRA MIRA IHEME President 770-724-8093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |