| NPI | 1780369900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIONA CARTER Owner 678-273-7686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-16 |