| NPI | 1770722563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITI AJOKE IPADEOLA CEO/Administrator 770-865-9116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC 004963) |
| Additional Taxonomies | 251B00000X Case Management (Licence: GA LPC 004963) |
| 252Y00000X Early Intervention Provider Agency (Licence: GA LPC 004963) | |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |