| NPI | 1073993150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE MARY BERNARD Medical Director 404-414-2523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-08-07 |