| NPI | 1982122974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYJANAH RASHEEDA MOORE Nurse Practitioner 404-944-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-07-21 |