| NPI | 1851580898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE SHIPMAN President 770-333-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 039234) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |