| NPI | 1043223530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA M GALLIANO Owner 912-554-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 056443) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |