| NPI | 1467901124 |
|---|---|
| Other Name | JOSE R VILLONGCO, MD |
| Entity Type | Organization |
| Authorized Contact | JOSE R VILLONGCO CEO 770-331-0812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 042479) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2017-04-17 |