| NPI | 1972484400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ADEBISI Authorized Official/Owner 770-837-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |