| NPI | 1972266112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIA MORROW Owner 470-869-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |