| NPI | 1538302864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DOUGLAS STRACKS Psychiatrist/Owner 706-885-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 060311) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |