| NPI | 1760754196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD JAMES President 770-962-8552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 027577) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |