| NPI | 1407627805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMOYEME EHIZUELEN Nurse Practitioner 404-566-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-08-07 |