| NPI | 1851752869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD RYAN HUSTED VP Of Operations 770-639-9654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NC MHL-088-023) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC MHL088023) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2025-04-01 |