| NPI | 1255123147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBUNOLUWA MIKIE CEO And Owner 404-917-5484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2026-07-11 |