| NPI | 1700147063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN SUTER Owner 404-561-5714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |