| NPI | 1154208577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIRAT O SHOMUYIWA Owner 678-895-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |