| NPI | 1750747812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROY VAUGHN President 404-409-9743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA 022660) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |