| NPI | 1316335078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREN LAZZARI President 770-449-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: GA RN124271) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 028884) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |