| NPI | 1275426454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISOPHIA HARPER Administrator 404-621-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |