NPI | 1821717638 |
---|---|
Entity Type | Organization |
Authorized Contact | ZIA SKEPPLE Managing Director 678-939-1041 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
102L00000X Psychoanalyst | |
251S00000X | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2022-08-24 |
Last Update Date | 2023-07-24 |