| NPI | 1942044938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA JANE FODROCZI Licensed Professional Counselor 404-967-5539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |