| NPI | 1821497603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA WHITE ENGLISH Owner 404-732-7927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 1041C0700X) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |