| 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 |