NPI | 1699547091 |
---|---|
Entity Type | Organization |
Authorized Contact | MARKEELUS MILLIGAN Owner 678-665-3303 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2023-10-27 |
Last Update Date | 2023-10-27 |