| NPI | 1518528116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BURKE Owner/Provider 404-425-2264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |