| NPI | 1972368231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFUSAT OMOLARA ADEYEMI Organizer 770-572-5981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-06-10 |