| NPI | 1336948959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OYENIKE SANNI Nurse Practitioner 678-895-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2025-03-08 |
| Last Update Date | 2025-09-11 |