| NPI | 1326444951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY TAGTACHIAN Owner 770-548-2589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |