| NPI | 1891003299 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AFOLARIN BANJOKO Physician/Owner 912-785-2100  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 49267)  | 
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA 1729)  | 
| Enumeration Date | 2010-09-20 | 
| Last Update Date | 2025-09-16 |