| NPI | 1104190644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY H FLATOW Owner 678-985-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA 028543) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |