| 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 |