| NPI | 1073962536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS FUERTES BOYNTON Psychotherapist/CEO 678-525-9830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: GA lpc006747) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-07 |