| NPI | 1982216800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVON TAYLOR Director 404-907-3982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 164W00000X Licensed Practical Nurse | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 251S00000X | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2023-03-07 |