| NPI | 1265588438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A LYLE Principal 678-284-9171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 024707) |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2020-08-22 |