| NPI | 1255984902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNE P LIENKAMP Nurse Practitioner, President 404-798-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2026-05-04 |