| NPI | 1760953434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DEUSER Owner 912-267-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2019-07-10 |