| NPI | 1154579456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN M. KEOWN Psychologist 770-346-9914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: GA PSY002905) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |