| NPI | 1487465159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A TAPP President 770-530-0174 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-04-28 |