| NPI | 1265613277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL JOSE MARTELLI Owner 912-267-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 032428) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |