| NPI | 1770230781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASSARATOU DIABY Owner/Provider 678-412-5153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |