| NPI | 1659264638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODROE HARVEY CEO 404-596-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |