| NPI | 1124392717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN MARSTON RASCOE Owner 404-261-3470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 11238) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |