| NPI | 1720318306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MICHAEL PRUDENT Owner 404-685-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 037340) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |