| NPI | 1497911234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN D HAUSER Member 770-716-6012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: GA PSY002374) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |