| NPI | 1851665319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EAMON DUTTA Owner 770-458-1594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 046593) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |