| NPI | 1124178751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE J WARREN Provider 770-389-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 033745) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2009-02-25 |