| NPI | 1811240054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE STAPPENBECK RN 770-997-4018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 20825) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |