| NPI | 1992528483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYDUO SONNIE BARR Owner 770-912-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |