| NPI | 1417140724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CONNIE JORGENSEN President 770-389-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: GA 098399) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2009-04-06 |