| NPI | 1851780779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY SCHULTZE Therapist 404-642-9883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC008195) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |