| NPI | 1043045941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPESHAL T.W. GAUTIER Owner 404-800-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-12 |