| NPI | 1164762589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL I BERGER President 770-554-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA PSY000461) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |