| NPI | 1508086729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES JEANNETTE CHAHIN Owner 706-201-2985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 057154) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2009-07-07 |