| NPI | 1093890261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA MALONE-GILBERT Provider 770-389-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 050537) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 050537) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2009-02-25 |