| NPI | 1104255959 |
|---|---|
| Other Name | GPP |
| Entity Type | Organization |
| Authorized Contact | AVITAL K COHEN Co Owner/Clinical Psychologist 678-999-3477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 2999) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA 3672) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |