| NPI | 1326162827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY HUNSUCKER VP 912-261-9229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |