NPI | 1154081412 |
---|---|
Entity Type | Organization |
Authorized Contact | AKINLAWON AYENI Owner 770-829-7442 |
Organization Subpart ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
Enumeration Date | 2021-12-28 |
Last Update Date | 2022-07-25 |