| NPI | 1629678586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA OLIVER SKELTON Authorized Official/Owner 470-236-9844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |