| NPI | 1750061206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFUNMILAYO TEMITOPE AJALA Nurse Practitioner 470-435-5341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2024-12-18 |