| NPI | 1144767591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA ROLAND ROSE Owner 404-532-9246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY004066) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |