| NPI | 1841734878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA-JEAN OWENS Therapist 404-618-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA CSW003676) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |