| NPI | 1558584649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R MATTHEW KAMINS Owner 404-599-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 39832) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2017-01-05 |