| NPI | 1003779828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MCNEAL Manager 678-642-3532 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2025-12-08 |