| NPI | 1073848891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GRACE THOMAS Licensed Psychologist 678-714-9590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 1806) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |