| NPI | 1922816834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIN'NUBIYYA ANACIUS-EL Therapist 404-993-1408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 261QC0050X Clinic/Center, Critical Access Hospital | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP0904X Clinic/Center, Public Health, Federal | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 261QV0200X Clinic/Center, VA | |
| 273R00000X Psychiatric Unit | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 333300000X Emergency Response System Companies | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2024-12-23 |