| NPI | 1659691681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUGBEMIGA A. OSOBA Owner 770-331-8035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 059300) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2010-07-26 |