| NPI | 1881182756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA COATS Owner 678-926-8024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA LPC009945) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |