| 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 |