NPI | 1588727978 |
---|---|
Entity Type | Organization |
Authorized Contact | TAREN LAZZARI President 770-265-2772 |
Organization Subpart ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: GA RN124271) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: GA RN033413) |
363LF0000X Nurse Practitioner, Family (Licence: GA RN095208NP) | |
Enumeration Date | 2006-12-18 |
Last Update Date | 2007-10-17 |