| NPI | 1700041175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE LUCAS CANGIANO President 678-957-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 044182) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |