| NPI | 1659539328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI SCHWAM Director 706-836-9379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |