| NPI | 1649042375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE EKO CEO 404-932-7197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2024-11-01 |