| NPI | 1871296210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE EARLY Clinical Social Worker 404-207-2236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-08-01 |