| NPI | 1629645288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN KONATA GREEN Co Owner 404-435-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-10 |