| NPI | 1871356147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMAKIO M PATTERSON Owner 404-883-7567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |