| NPI | 1093075947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYNSLEY CORBETT President 404-728-0728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY3033) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2020-10-19 |