| NPI | 1528774916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KANYUIRA President 678-439-0017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2024-12-31 |