| NPI | 1811292477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE-VIOLENE MERTILUS Therapist 404-291-8931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW004124) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |