| NPI | 1073926770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE TELFORD Owner 678-785-4651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA 3727) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |