NPI | 1992323398 |
---|---|
Entity Type | Organization |
Authorized Contact | PRISCILLA MADU Owner 404-431-6275 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2020-07-12 |
Last Update Date | 2024-04-18 |