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 |