| 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 Psychiatric/Mental Health | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-10-27 |