| NPI | 1831534536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJASREE PRATURI Owner 770-654-1982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: GA 049935) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2016-05-19 |