| NPI | 1578839668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUXANDRA MARES Psychiatrist 912-576-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: GA 58799) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-24 |