| NPI | 1891067492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY ROLLINS CEO 678-984-2609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2025-02-04 |