| NPI | 1447124367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN MINEFEE Manager 678-349-4318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2026-01-06 |