| NPI | 1225600885 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JONITA LEANDRA MCKINNEY CEO 470-219-1472 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Additional Taxonomies | 104100000X Social Worker | 
| 1041C0700X Social Worker, Clinical | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| Enumeration Date | 2021-07-13 | 
| Last Update Date | 2023-08-31 |