| NPI | 1730660176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DICKSON OSANU CEO 404-226-9131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 251S00000X | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-24 |