| NPI | 1760666762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MCMILLIAN Administrator 770-993-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 29032) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2008-02-22 |