| NPI | 1952867285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN DOUGLAS MITCHELL Owner/ CEO 404-820-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 225A00000X Music Therapist |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |