| NPI | 1174847834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES PURSELLE Managing Member 678-705-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 044312) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2021-03-05 |