| NPI | 1942360912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY JAY KAPLAN Financial Officer 770-819-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 012499) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-12-03 |