| NPI | 1508319468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHBOOB M AHMED President Owner 706-495-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35-083747) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |