| NPI | 1154766954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN TODD GEORGE President 770-457-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003656) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |