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 |