| NPI | 1487473062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MCQUEEN Nurse Practitioner 404-663-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2025-01-09 |