| NPI | 1750908307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANNE C VICKERS Partner 404-573-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |