| NPI | 1740317346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE M WASHINGTON Sole Member 404-586-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 032493) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |