| NPI | 1922642644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO MORALES CELEDON Register Agent 404-955-3306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |