| NPI | 1831850163 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DEBRA HARVEY STEWART Clinical Director 470-450-1355 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| Enumeration Date | 2022-01-08 | 
| Last Update Date | 2024-10-07 |