| NPI | 1043579212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R BRUCE PRINCE Owner/Physican 404-634-1195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 012360) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |