| NPI | 1699750042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM NOGA Owner Operator 404-644-5674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2020-08-22 |