| NPI | 1932479755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN HARPE WALLER Executive Director 404-867-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2024-03-05 |