NPI | 1114722006 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRI TEIXEIRA Owner 404-844-9710 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2025-02-15 |
Last Update Date | 2025-04-21 |