| NPI | 1396334330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDYN ISABEL ANDREWS Practice Manager 678-336-9102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |