| NPI | 1164756839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAINA SULLIVAN Owner 404-508-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 047162) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-28 |