| NPI | 1790187938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARWIN THOMPSON Director Of Programs 404-691-8880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |