| NPI | 1861846487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRO GIORGADZE President 678-701-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: GA 053532) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |