| NPI | 1306172416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVERSON CHARLES BELL President 770-394-9562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 021376) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-10-26 |