| NPI | 1376891556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHZAD HASHMI Owner 678-682-8746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA RN178428) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |