| NPI | 1427787720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIALLA DENEEN WARREN Nurse Practitioner 404-595-8722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2024-06-20 |