| NPI | 1851023485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC RODGERS CEO 678-491-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-01 |