| NPI | 1972004075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMILA PATEL CEO/Manager 770-337-0482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |