| NPI | 1124391032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MARC LYNN Doctor 770-333-1755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 027402) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |