| NPI | 1952470742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA BARNES Provider 770-389-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 054790) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 054790) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-08-27 |