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 |