NPI | 1407927361 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH REED CEO 770-778-1349 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA R102945) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2007-11-15 |