| NPI | 1477814242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN EUBANKS President 404-325-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: GA 015460) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |