NPI | 1922531938 |
---|---|
Doing Business As | YOUTHRIVE CHILD & ADOLESCENT THERAPY CENTER |
Entity Type | Organization |
Authorized Contact | NIKIA SCOTT Owner 770-800-6498 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: GA 17-45799) |
Enumeration Date | 2017-04-06 |
Last Update Date | 2023-05-30 |