| NPI | 1255668810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY TYLER WARNER CEO/Owner 678-840-8446 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 053905) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |