| NPI | 1871394486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA HALL Owner/Psychiatric Nurse Practitione 706-262-4895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-12-12 |