| NPI | 1568594141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L NICHOLAS Owner 404-636-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 21422) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2020-08-22 |