| NPI | 1831426931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE NICHOLS Health Clinic Director 770-423-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA RN057224) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health (Licence: GA RN057224) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |