| NPI | 1932721784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DESHAWN JOHNSON CEO, Psychotherapist 678-570-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 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 Psychiatric/Mental Health | |
| 405300000X Prevention Professional | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |