| NPI | 1932721784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DESHAWN JOHNSON CEO, Psychotherapist 678-570-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 103K00000X Behavior Analyst | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| 222Q00000X Developmental Therapist | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |