| NPI | 1841882610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMONIA SIANNEH DOE Founder 404-388-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2023-07-03 |