| NPI | 1255410049 |
|---|---|
| Other Name | PROFESSIONAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | CECELIA PATRICE KANE President Of Corporation 770-761-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 037581) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |