| NPI | 1083880744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ASHE Executive Director Of Finance 770-792-5261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2020-02-24 |