| NPI | 1780142554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIANA ONI CEO 678-524-4688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |