| NPI | 1164783270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE CLAUDINE STYPEREK President 404-291-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA PSY003542) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |