| NPI | 1982488508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANA CHUNARA CEO 678-670-6697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2025-10-02 |