| NPI | 1942849708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY D BARNES-MELLSTROM Owner 770-330-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |