| NPI | 1669765467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMILA PATEL Office Manager 770-337-0482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2024-02-12 |