| NPI | 1952640302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE JANE MEZZA Owner/Lic. Prof. Counselor 678-978-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA 004731) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: GA 004731) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |