| NPI | 1184031320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY H JACKSON CEO 404-629-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 060643) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |