NPI | 1396639480 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDITH MANDIP EGBE Owner / Authorized Official 470-854-8533 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-06-04 |
Last Update Date | 2025-06-04 |