| NPI | 1730423047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS GADDE CEO 678-666-6990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 058213979) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |