| NPI | 1750151767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIUYINOSA ELEMA Officer 478-227-4754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-17 |