| NPI | 1841521721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA BEVELL Practice Administrator 404-918-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| Enumeration Date | 2010-01-17 |
| Last Update Date | 2010-04-01 |