| NPI | 1033518048 |
|---|---|
| Doing Business As | MAUVESCAPE |
| Entity Type | Organization |
| Authorized Contact | CHANTEA D WILLIAMS Owner 678-701-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003998) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2016-03-31 |