| NPI | 1114252624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY ROBBINS Operations Manager 404-373-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002911) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |