| NPI | 1861001752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN COOKS Executive Director 404-702-7853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 225CX0006X | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |