| NPI | 1114683851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LIZ REED Clinician 678-453-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2021-11-16 |