| NPI | 1588905871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY YUSUFF CEO/Owner 678-377-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 049482) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |