| NPI | 1285893610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR F TANAKA Psychologist 404-352-4348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 002048) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |