| NPI | 1831863315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY BUMPERS Manager 404-849-9918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101200000X Drama Therapist |
| 221700000X Art Therapist | |
| 225400000X Rehabilitation Practitioner | |
| 225600000X Dance Therapist | |
| 225A00000X Music Therapist | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine | |
| 225C00000X Rehabilitation Counselor | |
| 251B00000X Case Management | |
| 251S00000X | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2021-08-06 |