| NPI | 1831426998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK ANTHONY DEFILIPPIS President 770-730-9930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA 536) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |