| NPI | 1912870767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY MANYOR ARREY CEO 470-295-2697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-09-27 |
| Last Update Date | 2025-11-07 |