| NPI | 1760710271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA HOUSTON CEO/Program Director 678-668-3407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: GA 1842-R) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |