| NPI | 1407743404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ABUAJAH Pmhnp 678-907-7329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-30 |