| NPI | 1104046366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS E WEBB Corporation President 404-257-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 1600) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |