| NPI | 1629409123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MAGAT Owner 678-680-3972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 051830) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2014-02-15 |