| NPI | 1790831972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK VAKKUR Principal 404-486-7450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 47548) |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2008-03-24 |