| NPI | 1871208090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIANA SACRAMENTO AGUIAR Clinical Director 404-583-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 102L00000X Psychoanalyst | |
| 174400000X Specialist | |
| 225600000X Dance Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-11-08 |