| NPI | 1407510878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYIA JACKSON Psychiatric Nurse Practitioner 404-999-4726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-11-12 |