| NPI | 1083074942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA THOMAS Md/CEO 770-383-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2019-07-31 |