NPI | 1831511823 |
---|---|
Entity Type | Organization |
Authorized Contact | UDANA THOMAS Admin 678-789-8546 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
101Y00000X Counselor | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2014-01-10 |
Last Update Date | 2022-06-13 |