| NPI | 1629388244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR BARTLETT HARRISON CEO/President 678-612-4348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: GA 052953) |
| Enumeration Date | 2010-10-16 |
| Last Update Date | 2011-03-23 |