| NPI | 1093861262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN G JENNE Principal 404-419-6282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002577) |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2022-10-21 |