| NPI | 1285963595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH S. BOTNICK Clinical Director 404-403-3326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN118785) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |