| NPI | 1225297732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MIELES Psychiatrist 706-563-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 0055688) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |