NPI | 1831722032 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARITA LYNN SELDEN Owner 678-852-0768 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-02-15 |
Last Update Date | 2020-02-15 |