| NPI | 1013052182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JAY LAZARUS CEO 770-719-2965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 031058) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2018-06-21 |