| NPI | 1003485392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHIAS REYNOLDS Owner 404-939-7712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-24 |