| NPI | 1245404037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY CATHLEEN HEIT Owner 678-613-4745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 41307) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |