| NPI | 1154956621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DANIEL MONCINO CEO 404-748-6013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-04-22 |