| NPI | 1568290039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH S. JAMES Owner/Provider 404-997-2894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |