| NPI | 1770686024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGE C LUECHINGER President 678-438-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN079843 CNS/PMH) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-01-08 |