| NPI | 1104982263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZAN Y NEAL Owner 404-969-3027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN115041) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2010-10-04 |