| NPI | 1922280684 |
|---|---|
| Doing Business As | THE POTTER BEHAVIORAL MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MOBOLAJI OYEBANJO Provider 770-459-8799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2012-10-03 |