| NPI | 1962095356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAHOMIE JULIEN Founder 678-914-5772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 347B00000X Bus | |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2024-02-25 |