NPI | 1598732869 |
---|---|
Entity Type | Organization |
Authorized Contact | SALEWA TAIWO Office Manager 678-610-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 051606) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 64622) |
Enumeration Date | 2006-03-04 |
Last Update Date | 2022-09-14 |