| NPI | 1104147081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPTI J BHASIN President 478-333-3058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2012-06-11 |