| NPI | 1326386780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO NORNIELLA NORNIELLA CEO 706-705-1687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 12100888) |
| Enumeration Date | 2013-01-19 |
| Last Update Date | 2020-08-28 |