| 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 |