NPI | 1578397287 |
---|---|
Entity Type | Organization |
Authorized Contact | RETTA SUGARPEA BRIGHT Psychiatric Nurse Practitioner 678-852-3203 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2024-08-27 |
Last Update Date | 2025-07-22 |