| NPI | 1962263699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS JAMES Owner 404-532-9179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 106H00000X Marriage & Family Therapist | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 343800000X Secured Medical Transport (VAN) | |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |