| NPI | 1447477609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA JANE LITTLE Chairman 770-772-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 032234) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |