NPI | 1912574732 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA PIHERA Owner 770-841-4440 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine |
Enumeration Date | 2021-06-09 |
Last Update Date | 2024-06-29 |