| NPI | 1053659953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH-ANN BUITEKANT President 404-818-6073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA R065174) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |