| NPI | 1114207461 |
|---|---|
| Doing Business As | WELLSTAR PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | NICOLE ASHE Executive Director Of Finance 470-644-0095 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2013-11-19 |