| NPI | 1831621887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRIE H ALLEN Owner 678-768-7541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 2016009761) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA F0712070) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2022-08-04 |