| 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 |