| NPI | 1871823401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HUEY Executive Director 404-712-8652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |