| NPI | 1366619652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA R. NEALE President/Medical Director 770-716-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 49070) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2012-07-30 |