| NPI | 1821809898 |
|---|---|
| Doing Business As | STILL WATERS BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | DIVYA KANNEGENTI CEO 706-610-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-17 |