| NPI | 1952825531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENTIA PAUL-CONSTANTIN Director 678-613-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC005918) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: GA 444521) |
| 251S00000X Community/Behavioral Health (Licence: GA APC0005918) | |
| 252Y00000X Early Intervention Provider Agency (Licence: GA 444521) | |
| 261QD1600X Clinic/Center, Developmental Disabilities (Licence: GA 444521) | |
| 261QM0801X (Licence: GA APC0005918) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA APC0005918) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |