| NPI | 1952734972 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | CAROLINE SEIGNON A RN P 678-697-4468 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL arnp9329726) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL arnp9329726) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |