| NPI | 1942999255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA OMWANGHE Nurse Practitioner 470-233-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-07-25 |