NPI | 1356405773 |
---|---|
Entity Type | Organization |
Authorized Contact | RJICHARD EDWARD GRANT Physician 404-467-7670 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 044472) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2020-08-22 |