| NPI | 1548513211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHZAD HASHMI Cmo 770-910-9196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: GA 53239) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2022-07-21 |