| NPI | 1235968355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHEEDA G KIMBRO CEO 678-772-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |