NPI | 1073860334 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBYN JOHNSON HANS President 770-536-1360 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: GA 002441) |
Enumeration Date | 2012-08-06 |
Last Update Date | 2012-08-08 |