| NPI | 1851880157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA SINCLAIR Executive Director 404-218-3686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 207Q00000X Family Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208D00000X General Practice | |
| 251B00000X Case Management | |
| 251K00000X Public Health or Welfare | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 291U00000X Clinical Medical Laboratory | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2020-09-02 |