| NPI | 1407743404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ABUAJAH Pmhnp 678-404-6043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-09-17 |