| NPI | 1013548981 |
|---|---|
| Doing Business As | MICGRA PSYCH LLC |
| Entity Type | Organization |
| Authorized Contact | ODETTE AMANDA BUTLER Owner 404-751-3700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2023-11-15 |