| NPI | 1073935854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL HANCOCK President 678-690-7102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |