NPI | 1174741458 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH ANN REED CEO 770-778-1349 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA R102945) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2007-11-09 |