| NPI | 1427799790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTHEIA BASS-SELDON Owner/Family Nurse Practitioner 678-578-5833 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-04-02 |
| Last Update Date | 2022-04-02 |