| NPI | 1871613240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JEAN SCOTT Owner 770-480-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 0027175) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2014-08-19 |