| NPI | 1942197991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY MIMS Chief Clinical Officer 404-824-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-27 |