| NPI | 1790975449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE STEIN Director 706-272-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: GA 057776) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW002516) |
| 208100000X Physical Medicine & Rehabilitation (Licence: GA 49851) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: GA 49851) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2008-05-23 |