| 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 |